Individual provider Active NPI

Courtney Newbery, LMHC

  • Mental Health Counselor
  • Bonita Springs, FL
National Provider Identifier
1477167716
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11611 Issued in FL
Practice address
24840 Burnt Pine Dr Ste 1&2
Bonita Springs, FL 34134-2999
Phone
(239) 301-4464
NPI assigned
Sep 3, 2020
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11611 FL Primary

Addresses

Primary practice location

24840 Burnt Pine Dr Ste 1&2
Bonita Springs, FL 34134-2999

Mailing address

3534 Sungari CT
Naples, FL 34119-8642
Phone (239) 206-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11611FLMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1477167716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 SUNGARI CT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198642",
            "telephone_number": "239-206-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24840 BURNT PINE DR STE 1&2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341342999",
            "telephone_number": "239-301-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERY",
        "first_name": "COURTNEY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "11611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.